Brooke Saunders

ER doctor, bookworm, traveler | Do no harm, but take no shit.

[Brooke Saunders @brkster]

If you, a person with no specific training or expertise in a given field, have an opinion that directly contradicts the majority of actual experts in that field, then perhaps it’s not so much “controversial” as it is *incorrect.*

[Andrew Petrosoniak @petrosoniak]

This week almost every patient I saw in the ED waited >6hrs.

I told each patient I'm sorry they had to wait. Not because I felt responsible but because I felt bad for them.

A "system" delivering "emergent" care regularly >6-12hrs is no long a system but rather a failure.

[Esther Choo, MD MPH @choo_ek]

“‘Idaho calls itself a quote ‘pro-life state,’ but the Idaho Legislature doesn’t care about the death of moms’” — the dilemma of ob/gyns in abortion restrictive states, and how general women’s health erodes when abortion access is threatened https://t.co/nFfD7fav19

[Dr. Trevon D Logan @TrevonDLogan]

I’ve said it before and I’ll say it again:

“We have very successful class-based Affirmative Action admissions policies at elite colleges and universities. It's been working quite well for rich and powerful families for generations.

Maybe we should talk about that…”

[Qasim Rashid, Esq. @QasimRashid]

The only Democracy in the middle east just limited the Supreme Court's ability to exercise judicial oversight over government corruption...led by a Prime Minister indicted for government corruption.

Where is the accountability? Where is the justice?

[Josh Matlow @JoshMatlow]

If we don't change how things are done at City Hall, our services simply won't improve.

Vote for a city that works: https://t.co/8T0PRMETGW

[Jennifer Keesmaat @jen_keesmaat]

We need affordable housing options for every income level and every stage of life - in every neighbourhood. We can get there, this is doable.

[Brooke Saunders @brkster]

@DocMCohen For a while they offered to keep FOBT if every doc did an annual certification course in performing and interpreting it 🧐 you can imagine how well that landed.

[Brooke Saunders @brkster]

@DocMCohen All point of care testing has been removed from our ED over the years - no urine preg dip, even FOBT. I kid you not, the explanation was “docs and nurses are not qualified to perform or interpret point of care tests so all must be done at the lab”.

[Brooke Saunders @brkster]

@DrJenGunter @DrJenAdjacent Congratulations!!

[Brooke Saunders @brkster]

@proserv @drmwarner Not get paid and care for them for free.

[Brooke Saunders @brkster]

So you mean like the men in every cabinet? Oh sorry did you think male dominated cabinets were created based on merit rather than gender discrimination? Don’t be silly.

[Sarah Fischer @SarahFischer__]

@lisakirbie Imagine being a woman in Trudeau’s cabinet and not knowing if it was merit or gender that got you there.

[Dr. Amit Arya @AmitAryaMD]

The evidence tells us that for-profit surgical delivery didn't improve wait times in Western Canada.…so why is the Ontario government telling us that for-profit surgical delivery will work here?

A new op-ed by @a_longhurst, @drlesleybarron & I in @IRPP.
https://t.co/pEqEIKUp4L

[Raghu Venugopal MD @raghu_venugopal]

“Can you go to a warming center?”

“No, they are all full.”

If you think John Tory and City Council did a good job then go sleep outside tonight and reconsider.

Not good enough, Toronto.

[Brooke Saunders @brkster]

@RogersHistory Counterpoint: so what? School isn’t meant to be jail. Let your students go to the bathroom, even if they have another reason to leave the classroom not immediately obvious to you.

[Jonathan's translucent form @jmcrookston]

RCTs were used to avoid relying on anecdote for medical treatments.

I.e. does this drug work? Let's try in x group not in y group and see if there is a difference.

It is not used for seatbelts because you can use science and engineering to DIRECTLY ANSWER that they work.

[Brooke Saunders @brkster]

@_celia_bedelia_ Pretty sure it was the medical staff and CPR that saved his life… 🤔

[David Fisman @DFisman]

Tent city and breadline in the heart of one of the world’s richest cities

No, I don’t care who the ex-mayor had consensual sex with

Yes, I do care that a rich city is letting citizens freeze and starve

[alan drummond @alandrummond2]

Ontario physicians college failed to properly investigate gender discrimination, improper billing complaints, court rules /via @globeandmail https://t.co/6M9wJSdCN6

[C Pita 🇺🇦🌻 @CPita3]

ID proponents of surgical masking on COVID wards, often site a handful of systematic reviews to defend their position.

Spurred by @AntibioticDoc's thread and @McDevonMD's tweet below - I did some digging.

Was MacIntyre 2013 covered in these reviews, and if so, how?

🧵1/17

[Babak Jahromi MD PhD FRCSC @babaksjahromi]

What do Santa Claus, the Easter Bunny, and Contrast-Induced Nephropathy have in common?👉They're all largely imaginary. In an emergency, *please* just order the CTA. (credit https://t.co/ATtJgKv2wU, see selected refs below, many more on pubmed)